SPARTAN ORTHOPEDIC INSTITUTE
NPI 1386160513
Orthopaedic Surgery - Sports Medicine in St Augustine, FL

Q: What is Orthonorthrup PA's NPI number?

The NPI number for Orthonorthrup PA is 1386160513. It was assigned to this organization in the NPPES registry on August 18, 2017. The provider is doing business as Spartan Orthopedic Institute.

Q: What is Orthonorthrup PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Orthonorthrup PA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 18, 2017

475 W TOWN PL STE 106, ST AUGUSTINE, FL 32092(904) 466-1179(904) 823-8967 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jan 21, 2019, Oct 26, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Spartan Orthopedic Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPARTAN ORTHOPEDIC INSTITUTE (NPI 1386160513) is a healthcare organization registered as a sports medicine in St Augustine, Florida and active in the NPI registry since August 2017. The organization maintains a secondary practice location in St Augustine and lists Tod Northrup, Medical Director, Owner, as its authorized official.

NPPES Registry Identity

NPI1386160513

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameORTHONORTHRUP PA

Location Address475 W TOWN PL STE 106St Augustine, FL 32092-2820

Mailing AddressPo Box 4389St Augustine, FL 32085-4389 · (904) 466-1197 · Fax (904) 823-8967

Phone(904) 466-1179

Fax(904) 823-8967

Organization SubpartNo

Authorized OfficialTod NorthrupMedical Director, Owner · (904) 466-1197

Enumeration DateAugust 18, 2017

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1386160513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in FL · OS7217

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

475 W TOWN PL STE 106, St Augustine, FL 32092

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Other Names 1

Doing Business AsSpartan Orthopedic Institute

Secondary Practice Location 1

Location 1150 Southpark Blvd Ste 102St Augustine, FL 32086-5122 · Phone (904) 823-3764

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spartan Orthopedic Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Spartan Orthopedic Institute, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Tod Northrup, D.O.

Orthopedic Surgery

NPI 1386622496

475 W TOWN PL STE 106
St Augustine, FL 32092

(904) 466-1197

✔ PECOSSame address

Melissa Sepe, APRN

Nurse Practitioner

NPI 1396222824

325 CLYDE MORRIS BLVD
Ormond Beach, FL 32174

(386) 676-2367

✔ PECOS✔ Accepts Medicare55 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orthonorthrup PA's NPI number?

The NPI number for Orthonorthrup PA is 1386160513. It was assigned to this organization in the NPPES registry on August 18, 2017. The provider is doing business as Spartan Orthopedic Institute.

Where is Orthonorthrup PA located?

Orthonorthrup PA is located at 475 W Town Pl Ste 106, St Augustine, FL 32092. The listed phone number is (904) 466-1179.

What is Orthonorthrup PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Orthonorthrup PA enrolled in Medicare?

Yes. Orthonorthrup PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orthonorthrup PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Orthonorthrup PA, in Nurse Practitioner and Orthopedic Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Orthonorthrup PA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.